Audrey Grinnell
Audrey Grinnell is a Behavior Analyst in Portland, Maine. Licensed in Maine. Registered with an NPI since 2017.
- Licensed in
- ME
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
37 Andover RdPortland, ME 04102
Phone: (207) 661-6704
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-20-40729 (ME) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1639695737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 21, 2017 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 20, 2021 |
| Mailing address | 37 Andover Rd, Portland, ME 04102 |
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